Individual
DERECK G BLAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3000 WINDY HILL RD SE STE 204, MARIETTA, GA 30067-8430
(770) 988-8884
Mailing address
3000 WINDY HILL RD SE STE 204, MARIETTA, GA 30067-8430
(770) 988-8884
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CHIR010849
GA
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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